Evaluating the Impact: From Promise to Evidence

Transcription

1 Evaluating the Impact: From Promise to Evidence Improved Maternal Health for Haor Dwellers Dhaka, Bangladesh April 27-29, 2014 Priyanka Chowdhury (Team Leader) Masud Khan Abu Hanif Sabuj Kanti Mistry Saiful Islam Sruthi Chandrasekaran (Moderator)

2 1. Intervention Summary Brief description of program activities and outputs: The Haor basin Bangladesh is one of the most vulnerable regions and are viewed as poverty pocket. People of these area are facing multidimensional problems deprivation from mainstream service provisions and development opportunities and because of inaccessibility exclusions, they are becoming increasingly marginalized and isolated BRAC is implementing Integrated development program since 2011 based on its strategic plan and priorities ( ) to boom development of these socio-economically depressed regions which are falling behind on MDG achievement.

3 1. Intervention Summary (continued) IDP is ensuring basic services (education, health, nutrition & population, and WASH) promoting sustainable livelihoods (Agriculture, fisheries, poultry, livestock, TUP, Migration & MF)), Social Mobilization (CEP, GJD and HRLS) For this particular exercise, we are focusing specifically on improving maternal health by providing awareness, ANC/PNC, effective referral systems and skill training to health workers

4 Where is it conducted? Derai in Sunamganj and Baniachong Sub-district in Habiganj IDP-Haor is being implemented for 0.6 million people through it s 10 offices in Baniachong Upazila and 5 offices in Derai Upazila

5 Who is targeted? Pregnant women Targeting 50,000 pregnant women over course of 3 years

6 When is it conducted? January 2013 to December 2015 Name of implementing organization BRAC

7 2. Results Chain PROGRAM Inputs Training to CSBA, NHW SK SS Subsidy for complicated pregnancy cases Kitboxes, communication materials Activities Antenatal and postnatal care checkups Establish an effective referral system Delivery through trained and skilled work attendants INTERMEDIATE OUTCOME Reduced complicated pregnancy cases (PPH) Increase of safe deliveries IMPACT Reduction of maternal mortality rate and hence improve maternal health Outputs Receiving regular checkups Access an effective referral system Receiving deliveries through trained and skilled attendants

8 3. Research Questions Will an improvement in maternal healthcare facilities lead to a decrease in maternal mortality rate? Will offering a package of services antenatal and postnatal care, effective referral systems and access to skilled attendants lead to a decrease in maternal mortality?

9 4. Impact Evaluation Design A. Describe the intervention in the (add treatment arms, if applicable): Treatment: provide maternal health services ANC & PNC check ups Effective referral system Number of skill development training to birth attendants Control: No service B. Describe the sample size Treatment: 341 villages Control: 341 villages (will be served on the next phase) C. Describe the program assignment rule: Random selection of Villages

10 Describing the sample size 64 Districts Habiganj (Districts) Sunamganj (Districts) Baniachong (Sub-districts) Derai (Sub-districts) 15 Union 10 Union 441 Villages 241 Villages 220 Villages (T) 221 Villages (C) 121 Villages (T) 120 Villages (C) 341 Villages (C) 341 Villages (T)

11 5. Data Collection A. List program indicators to be collected: Maternal Mortality Rate Access to (maternal) healthcare services Level of awareness of facilities, care options Level of health care (maternal) knowledge Level of expertise, comfort level with participants Received ANC, SBA services Status of care for complications Referral Access to skilled workers, healthcare workers Frequency of referring to health centre Resolution of cases (place, provider) Health status Frequency of pregnancies Frequency of complications

12 B. Method of data collection: HH survey Process monitoring data C. Frequency of data collection: HH Survey: Baseline, Midline (1.5 years), Endline (3 years) Process monitoring: Monthly D. Who will collect the data: Research Assistants

13 Thank You!